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Published on: November 28, 2019
Acod1 expression in cancer cells promotes immune evasion through the generation of inhibitory peptides
James H Schofield1, Joseph Longo2, Ryan D Sheldon3
1Department of Biological Sciences, University of Notre Dame, Notre Dame, IN 46556, USA.
Abstract:
Targeting programmed cell death protein 1 (PD-1) is an important component of many immune checkpoint blockade (ICB) therapeutic approaches. However, ICB is not an efficacious strategy in a variety of cancer types, in part due to immunosuppressive metabolites in the tumor microenvironment. Here, we find that αPD-1-resistant cancer cells produce abundant itaconate (ITA) due to enhanced levels of aconitate decarboxylase (Acod1). Acod1 has an important role in the resistance to αPD-1, as decreasing Acod1 levels in αPD-1-resistant cancer cells can sensitize tumors to αPD-1 therapy. Mechanistically, cancer cells with high Acod1 inhibit the proliferation of naive CD8+ T cells through the secretion of inhibitory factors. Surprisingly, inhibition of CD8+ T cell proliferation is not dependent on the secretion of ITA but is instead a consequence of the release of small inhibitory peptides. Our study suggests that strategies to counter the activity of Acod1 in cancer cells may sensitize tumors to ICB therapy.
Insights
Cancer cells resistant to PD-1 therapy produce itaconate via Acod1, inhibiting T-cell growth. Reducing Acod1 sensitizes tumors to PD-1 therapy by blocking inhibitory peptides.
Area of Science:
- Immunology
- Oncology
- Metabolism
Background:
- Immune checkpoint blockade (ICB) targeting programmed cell death protein 1 (PD-1) is a key cancer therapy.
- Tumor microenvironment immunosuppression, driven by metabolites, limits ICB efficacy in many cancers.
Purpose of the Study:
- Investigate the role of itaconate (ITA) and aconitate decarboxylase (Acod1) in resistance to PD-1 blockade.
- Elucidate the mechanism by which Acod1 contributes to immunosuppression in the tumor microenvironment.
Main Methods:
- Analysis of Acod1 and ITA levels in alphaPD-1-resistant cancer cells.
- Genetic manipulation of Acod1 expression in cancer cells.
- Assessment of CD8+ T-cell proliferation and function in co-culture systems.
Main Results:
- AlphaPD-1-resistant cancer cells exhibit elevated Acod1, leading to high ITA production.
- Decreasing Acod1 levels in resistant cells restores sensitivity to alphaPD-1 therapy.
- Cancer cells with high Acod1 suppress naive CD8+ T-cell proliferation via secreted inhibitory peptides, not ITA.
Conclusions:
- Acod1 is a critical mediator of resistance to PD-1 blockade in cancer.
- Targeting Acod1 activity may overcome immunosuppression and sensitize tumors to ICB therapy.
- Inhibitory peptides, rather than ITA, mediate Acod1-dependent CD8+ T-cell suppression.
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